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Individual

MONICA J. FORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417
Mailing address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101237957
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010199638
VA
01
1135090
AETNA HMO
VA
01
184315
ANTHEM BCBS OF VA
VA
01
2138651
MAMSI
VA
01
325300
SOUTHERN HEALTH SERVICES
VA
01
7114703
AETNA LIFE
VA
01
8496189
CIGNA
VA
01
99400
SENTARA
VA
01
C04469
GROUP PTAN
VA
01
C06115
GROUP PTAN
VA
01
C06695
GROUP PTAN
01
C06734
GROUP PTAN
VA
01
C06778
GROUP PTAN
VA
Enumeration date
06/20/2006
Last updated
02/09/2022
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